ASSOCIATION OF COMPLICATIONS OF DIABETES MELLITUS WITH SOCIODEMOGRAPHIC DETERMINANTS IN PATIENTS PRESENTING TO AYUB TEACHING HOSPITAL ABBOTTABAD

Authors

  • Saqib Malik Department of Medicine, Ayub Medical College Abbottabad-Pakistan
  • Farhat Naz Department of Medicine, Ayub Medical College Abbottabad-Pakistan
  • Fatima Iqbal Department of Medicine, Ayub Medical College Abbottabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-13758

Keywords:

diabetes mellitus, complications, microvascular, macrovascular, sociodemographic

Abstract

Background:  Diabetes mellitus is a disease with many possible complications like macrovascular i-e stroke, coronary artery disease, peripheral artery disease, and microvascular i-e retinopathy, neuropathy and nephropathy. Many studies have been done in past to find the frequencies of these complications and their association with sociodemographic determinants of diabetic patients, but there was limited data available in our setup. This study was carried out to determine the frequency of micro and macrovascular complications of diabetic patients and their association with socioeconomic determinants at Ayub Teaching Hospital, Abbottabad. Methods: This cross-sectional study was carried out at Ayub Teaching Hospital, Abbottabad, Pakistan, from July 2022 till December 2023 on 113 diabetic patients. The data was collected on micro and macrovascular complications of diabetes on a pre-designed structured proforma and analyzed by means of SPSS-23. Results: The most common macrovascular complication was coronary artery disease 10(8.8%) while neuropathy 35(31%) was the most common microvascular complication. Among macrovascular complications stroke was associated significantly with age (p=0.01) and duration of diabetes (p=0.032). Among microvascular complications neuropathy was associated with gender (p=0.047), nephropathy with smoking (p=0.02) and retinopathy with both gender (p=0.019) and smoking (p=0.017). Conclusion: In this study there was significant association between, gender with neuropathy and retinopathy, smoking with nephropathy and retinopathy, stroke with age and duration of diabetes.

References

1. Petersmann A, Nauck M, Müller-Wieland D, Kerner W, Müller UA, Landgraf R, et al. Definition, classification and diagnosis of diabetes mellitus. Exp Clin Endocrinol Diabetes 2018;126(7):406–10.

2. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2014;37(Suppl_1):S81–90.

3. Olokoba AB, Obateru OA, Olokoba LB. Type 2 diabetes mellitus: a review of current trends. Oman Med J 2012;27(4):269–73.

4. Harding JL, Pavkov ME, Magliano DJ, Shaw JE, Gregg EW. Global trends in diabetes complications: a review of current evidence. Diabeto-logia 2019;62:3–16.

5. Al-Maskari F, El-Sadig M, Norman JN. The prevalence of macrovascular complications among diabetic patients in the United Arab Emir-ates. Cardiovasc Diabetol 2007;6(1):1–7.

6. Jørgensen H, Nakayama H, Raaschou HO, Olsen TS. Stroke in patients with diabetes. The Copenhagen Stroke study. Stroke 1994;25(10):1977–84.

7. Cherchi S, Gigante A, Spanu MA, Contini P, Meloni G, Fois MA, et al. Sex-gender differences in diabetic retinopathy. Diabetology 2020;1(1):1–10.

8. Zhang X, Saaddine JB, Chou CF, Cotch MF, Cheng YJ, Geiss LS, et al. Prevalence of diabetic retinopathy in the United States, 2005-2008. JAMA 2010;304(6):649–56.

9. Abbott CA, Malik RA, Van Ross ER, Kulkarni J, Boulton AJ. Prevalence and characteristics of painful diabetic neuropathy in a large com-munity-based diabetic population in the UK. Diabetes Care 2011;34(10):2220–4.

10. Booya F, Bandarian F, Larijani B, Pajouhi M, Nooraei M, Lotfi J. Potential risk factors for diabetic neuropathy: a case control study. BMC Neurol 2005;5(24):1–5.

11. Cai X, Chen Y, Yang W, Gao X, Han X, Ji L. The association of smoking and risk of diabetic retinopathy in patients with type 1 and type 2 diabetes: a meta-analysis. Endocrine 2018;62:299–306.

Published

2024-11-25

How to Cite

Saqib Malik, Farhat Naz, & Fatima Iqbal. (2024). ASSOCIATION OF COMPLICATIONS OF DIABETES MELLITUS WITH SOCIODEMOGRAPHIC DETERMINANTS IN PATIENTS PRESENTING TO AYUB TEACHING HOSPITAL ABBOTTABAD. Journal of Ayub Medical College Abbottabad, 36(4). https://doi.org/10.55519/JAMC-04-13758